ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching about nutrition to a client at her first prenatal visit. Which of the following statements by the nurse should be included in the teaching?
Correct Answer: D
Rationale: The correct answer is D: You will need to increase your calcium intake during breastfeeding. During breastfeeding, calcium demands are higher to support milk production. Calcium is essential for bone health in both the mother and the baby. Increasing calcium intake can help prevent depletion of the mother's bone density.
A: Incorrect. Vitamin E requirements do not decline during pregnancy; they remain the same or may increase due to its antioxidant properties.
B: Incorrect. Iron intake should increase during pregnancy, but it does not need to be doubled for most women unless there is a specific medical indication.
C: Incorrect. Prenatal vitamins do not typically contain enough vitamin D to meet the increased needs during pregnancy, as additional supplementation may be necessary.
E, F, G: Not provided.
Question 2 of 5
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?
Correct Answer: C
Rationale: The correct answer is C: This test is a screening test for spinal defects in the fetus. The maternal serum alpha-fetoprotein test is used to screen for neural tube defects such as spina bifida in the fetus. The test measures the levels of alpha-fetoprotein in the mother's blood, which can indicate the presence of such defects. At 15 weeks of gestation, this test is typically done as part of routine prenatal screening.
Explanation for other choices:
A: This test does not identify Rh incompatibility; that is typically determined through other blood tests.
B: While the test may indirectly provide information about fetal well-being, its primary purpose is to screen for spinal defects, not general markers of well-being.
D: Fetal lung maturity is typically assessed using tests such as amniocentesis or ultrasound, not the maternal serum alpha-fetoprotein test.
Question 3 of 5
A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Increased progesterone production causes decreased motility of smooth muscle. Progesterone, a hormone produced during pregnancy, relaxes smooth muscle including the lower esophageal sphincter, leading to reflux and heartburn. This is a common cause of heartburn in pregnant women.
Choice B is incorrect because although the growing uterus can contribute to heartburn by displacing the stomach, it is not the primary cause.
Choice C is incorrect because increased estrogen production does not directly cause increased secretion of hydrochloric acid, which is more related to progesterone levels.
Choice D is incorrect because retained bile in the liver does not play a significant role in causing heartburn.
Question 4 of 5
A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence.
Correct Answer: A,B,C,D,E
Rationale: Action to Take: A, B; Potential Condition: C; Parameter to Monitor: D, E.
Rationale: Erikson's stages follow a sequential order from birth to adolescence. Trust vs. mistrust is the stage from birth to 1 year, Autonomy vs. shame and doubt from 1 to 3 years, Initiative vs. guilt from 3 to 6 years, Industry vs. inferiority from 6 to 12 years, and Identity vs. role confusion from adolescence. These stages represent the key psychosocial challenges individuals face at different life stages. Monitoring the child's development in terms of industry and identity is crucial in understanding their psychosocial growth.
Question 5 of 5
A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?
Correct Answer: D
Rationale: The correct interpretation is choice D: Variable decelerations are due to umbilical cord compression. Variable decelerations are abrupt decreases in the fetal heart rate that are often V-shaped on the monitor strip. They are typically caused by compression of the umbilical cord, leading to decreased oxygen supply to the fetus. This is a common finding in the first stage of labor and can be managed by changing the mother's position to relieve pressure on the umbilical cord.
Choice A is incorrect because uteroplacental insufficiency typically presents with late decelerations, not variable decelerations.
Choice B is incorrect as fetal head compression usually results in early decelerations.
Choice C is incorrect because IV narcotics may cause late decelerations, not variable decelerations.
In summary, variable decelerations are most commonly caused by umbilical cord compression, not uteroplacental insufficiency, fetal head compression, or IV narcotics.